6.3 Median percentage of a patient’s days as an inpatient on which physiotherapy is received (Physiotherapy domain)

Included: all patients who are considered to require physiotherapy are included in this indicator.

Excluded: patients who are considered to not require physiotherapy are excluded from this indicator

To calculate the length of stay at an inpatient team a patient was considered to require PT at:

The team centred length of stay at a team, if the patient was considered to require PT and the team was the first team the patient was seen by:

For newly arrived patients, the difference between the date the patient was considered to no longer require Physiotherapy (Q 4.4.1b) with a time component of 00:00 and date and time of arrival (Q 1.13).

For patients already in hospital at the time of their stroke (Q 1.10 is ‘Yes’), the difference between the date the patient was considered to no longer require Physiotherapy (Q 4.4.1b) with a time component of 00:00 and date and the date and time of symptom onset (Q 1.11).

The team centred length of stay at a team, if the patient was considered to require PT and the team was NOT the first team the patient was seen by:

The difference between the date the patient was considered to no longer require Physiotherapy (Q 4.4.1b) with a time component of 00:00 and date and time of arrival at this hospital (Q 4.1).

Please note that the date of assessment for therapy is not used when calculating the length of stay.Question 4.4.1a was added to the data set on the 1st April 2014. A different end date is used for patients with a clock start before this date.

1) The shortest length of stay in a given team where a patient is deemed to require PT is set at 24 hours, therefore any shorter lengths of stay are rounded up to reflect this.

Team-centred: The length of stay applicable for PT at that team (if the patient was considered to require PT) is the patient’s length of stay applicable for PT.Patient-centred: The length of stay applicable for PT at each team where the patient is considered to require PT are summed together to give the patient’s total inpatient length of stay which is applicable for PT.

2) Then, calculate the number of days on which the patient received PT:For team-centred: the number of days of PT the patient received (Q 4.5) at the specific team.

For patient-centred: the number of days of PT the patient received (Q 4.5) at each inpatient team the patient was deemed to required PT at are summed together to give the total number of days on which PT was received.

3) Then, calculate the percentage of a patient’s days in hospital on which physiotherapy is received:Divide the total number of days on which PT was received, by the patient’s length of stay which is applicable for PT.Due to the way length of stay is calculated, some patients’ percentages may be over 100%. This is capped then capped at 100%.

Cohort median:4) Lastly to find the median percentage, all percentages for each patient need to be listed in numerical order. The median is then the number in the middle of this list.

For team-centred

For patient-centred

The patient must be considered to require physiotherapy by the specific team

The patient must be considered to require physiotherapy by at least one inpatient team that the patient has been seen by

ExamplePatient W arrived (clock start) at Team A at 12:00 on 2nd January. They required PT at Team A until the 13th January, but did not receive any PT. They were transferred to Team B on 13th January at 12:00. They received PT at Team B on 5 days during their stay, and no longer required PT on the 19th January.Patient X arrived (clock start) at Team A at 12:00 on 1st January. They no longer required PT on 13th January. They received PT on 5 days during their stay.Patient Y arrived (clock start) at Team A at 12:00 on 3rd January. They required PT at Team A until the 5th January and received 2 days of PT. They were transferred to Team B at 09:00 on 6th January. They no longer required inpatient rehabilitation from Team B on 16th January. They received PT on 8 days during their stay.

Team-centred (Team A):Patient W: 1) Length of stay = 12:00 2nd Jan – 00:00 13th Jan = 10.5 days2) Number of days PT received = 0 days3) Percentage of patient’s days at Team A in which PT is received = 0 days = 0.00 = 0% 10.5 days

Patient X: 1) Length of stay = 12:00 1st Jan – 00:00 13th Jan = 11.5 days2) Number of days PT received = 5 days3) Percentage of patient’s days at Team A in which PT is received = 5 days = 0.43 = 43% 11.5 days

Patient Y:1) Length of stay = 12:00 3rd January – 00:00 5th January = 1.5 days2) Number of days PT is received = 2 days3) Percentage of patient’s days at Team A in which PT is received = 2 days = 1.33 100% 1.5 days Note, due to the way this indicator is calculated, Patient Y’s percentage has been capped at 100%4) Median percentage of all patient’s days in hospital in which PT is received in numerical order = 0% 43% 100%

Team A’s team-centred median percentage of all patients’ days in hospital in which PT is received is 43%